Child health- faltering growth

Question 1

define faltering growth

Answer 1

failure to gain adequate weight or achieve adequate growth suring infancy or early childhood

significant interruption in the expected rate of growth compared with other children of similar age and sex during early childhood

descriptive term and an underlying cause must be considered

Question 2

how to assess faltering growth

Answer 2

weigh the infant or child
measure length (birth to 2 years old) or height (if aged over 2 years)

plot measurements alongside previous measurements on the UK WHO growth charts

Question 3

risk factors for faltering growth
medical

Answer 3

Congenital anomalies (cerebral palsy, autism, trisomy 21)

Developmental delay

Gastroesophageal reflux

Low birth weight (<2.500g)

Poor oral health, dental caries

Prematurity (<37w)

Tongue-tie (controversial)

Question 4

risk factors for faltering growth psychosocial

Answer 4

Disordered feeding techniques

Family stressors

Parental or family history of abuse/violence

Poor parenting skills

Postpartum depression

Poverty

Question 5

four issues with energy in faltering growth

Answer 5

not enough in
not absorbed
too much used
abnormal central control of growth/appetite

Question 6

what are causes of malabsorption

Answer 6

Anemia (iron deficiency)

Biliary atresia

Coeliac disease

Chronic GI conditions (infections, IBS)

Cystic fibrosis

Inborn errors of metabolisms

Milk protein allergy

Pancreatic cholestatic conditions

Question 7

how can a cows milk allergy present?

Answer 7

skin issues eg eczema
GI issues, blood in stool
vomiting
crying